Unlisted orl service/px at Atrium Health Lincoln
433 McAlister Rd, Lincolnton, NC · Atrium Health · · NPI 1730055054
$292.80
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$585.60
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$23.43 with Humana vs $284.05 with Multiplan — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Humana | Medicare Advantage | $23.43 | ↓ -92% |
| Aetna | Medicare Advantage | $23.78 | ↓ -92% |
| Cigna Healthspring | Medicare Advantage | $24.12 | ↓ -92% |
| United Healthcare | Medicare Advantage | $24.19 | ↓ -92% |
| OrthoCarolina | Commercial | $28.72 | ↓ -90% |
| Amerihealth Caritas | Managed Medicaid | $33.73 | ↓ -88% |
| Alliance | Behavioral Health | $34.06 | ↓ -88% |
| Wellcare | Managed Medicaid | $34.36 | ↓ -88% |
| Carolina Complete Health | Managed Medicaid | $34.36 | ↓ -88% |
| Healthy Blue | Managed Medicaid | $34.36 | ↓ -88% |
| Vaya | Managed Medicaid | $34.68 | ↓ -88% |
| Partners | Managed Medicaid | $34.68 | ↓ -88% |
| Alliance | Managed Medicaid | $35.04 | ↓ -88% |
| Trillium | Managed Medicaid | $35.37 | ↓ -88% |
| United Healthcare | Managed Medicaid | $49.72 | ↓ -83% |
| Aetna | Connected North Carolina Individual HMO | $79.24 | ↓ -73% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $85.72 | ↓ -71% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $90.36 | ↓ -69% |
| Ambetter | CoBranded Commercial | $97.80 | ↓ -67% |
| Ambetter | Individual Commercial | $111.23 | ↓ -62% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $112.81 | ↓ -61% |
| United Healthcare | IEX Commercial | $120.20 | ↓ -59% |
| Aetna | Whole Health HMO | $121.99 | ↓ -58% |
| Cigna | Commercial NB | $129.47 | ↓ -56% |
| Employers Health Network | Commercial | $132.16 | ↓ -55% |
| Aetna | North Carolina Preferred Plus | $139.04 | ↓ -53% |
| MedCost | Ultra | $140.83 | ↓ -52% |
| Physician Reach Out | Plan P | $149.50 | ↓ -49% |
| Aetna | Broad Network | $156.68 | ↓ -46% |
| Cigna | HMO-PPO Managed Care | $160.26 | ↓ -45% |
| United Healthcare | HMO-PPO Managed Care | $170.43 | ↓ -42% |
| Quik Trip | Commercial | $194.35 | ↓ -34% |
| GMMI | Commercial | $194.35 | ↓ -34% |
| MedCost | PPO | $195.55 | ↓ -33% |
| Cigna | Commercial SAR | $201.83 | ↓ -31% |
| ChoiceCare | Commercial | $245.18 | ↓ -16% |
| Aetna First Health | Commercial | $254.15 | ↓ -13% |
| First Health | Commercial | $254.15 | ↓ -13% |
| Beechstreet | Commercial | $269.10 | ↓ -8% |
| Private Health Care Systems | Commercial | $269.10 | ↓ -8% |
| Multiplan | Commercial | $284.05 | ↓ -3% |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
| Physician Reach Out | Plan H | not published by hospital | — |
Visitor-reported prices
Comments
Unlisted orl service/px at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Anson | Wadesboro | $292.80 | $23.76 – $284.05 |
| Atrium Health Behavioral Health Charlotte | Charlotte | $292.80 | $56.81 – $299.00 |
| Atrium Health Cabarrus | Concord | $292.80 | $23.76 – $284.05 |
| Atrium Health Cleveland | Shelby | $292.80 | $23.46 – $284.05 |
| Atrium Health Mercy | Charlotte | $292.80 | $23.76 – $275.08 |
| Atrium Health Pineville | Charlotte | $292.80 | $23.76 – $275.08 |
| Atrium Health Stanly | Albermarle | $292.80 | $23.76 – $287.04 |
| Atrium Health Union | Monroe | $292.80 | $23.76 – $284.05 |